Evidence map›Paper›PMID 39040074›Full record

ArticleiScience2024

Explainable machine learning for predicting 30-day readmission in acute heart failure patients.

Yang Zhang, Tianyu Xiang, Yanqing Wang, Tingting Shu, Chengliang Yin, Huan Li, Minjie Duan, Mengyan Sun, Binyi Zhao, Kaisaierjiang Kadier and 4 more

Abstract read
In one paragraph

Article in iScience, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Yang ZhangCollege of Medical Informatics, Chongqing Medical University, Chongqing, China.
Tianyu XiangInformation Center, The University-Town Hospital of Chongqing Medical University, Chongqing, China.
Yanqing WangThe First Clinical College,Chongqing Medical University, Chongqing 400016, China.
Tingting ShuArmy Medical University (Third Military Medical University), Chongqing, China.
Chengliang YinFaculty of Medicine, Macau University of Science and Technology, Macau 999078, China.
Huan LiChongqing College of Electronic Engineering, Chongqing, China.
Minjie DuanCollege of Medical Informatics, Chongqing Medical University, Chongqing, China.
Mengyan SunHarris Manchester College, Oxford, UK.
Binyi ZhaoFirst Department of Medicine Medical Faculty Mannheim University Medical Centre Mannheim (UMM)University of Heidelberg, Mannheim, Germany.
Kaisaierjiang KadierDepartment of Cardiology, First Affiliated Hospital of Xinjiang Medical University, Ürümqi, China.
Qian XuCollection Development Department of Library, Chongqing Medical University, Chongqing, China.
Tao LingDepartment of Pharmacy, Suqian First Hospital, Suqian, China.
Fanqi KongDepartment of Cardiology, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Xiaozhu LiuMedical Data Science Academy, Chongqing Medical University, Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to develop a machine-learning based predictive model to identify 30-day readmission risk in Acute heart failure (AHF) patients. In this study 2232 patients hospitalized with AHF were included. The variance inflation factor value and 5-fold cross-validation were used to select vital clinical variables. Five machine learning algorithms with good performance were applied to develop models, and the discrimination ability was comprehensively evaluated by sensitivity, specificity, and area under the ROC curve (AUC). Prediction results were illustrated by SHapley Additive exPlanations (SHAP) values. Finally, the XGBoost model performs optimally: the greatest AUC of 0.763 (0.703-0.824), highest sensitivity of 0.660, and high accuracy of 0.709. This study developed an optimal XGBoost model to predict the risk of 30-day unplanned readmission for AHF patients, which showed more significant performance compared with traditional logistic regression (LR) model.

Indexed as

bioinformaticscardiovascular medicine

Identifiers

PMID39040074
PMCPMC11261142

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.